Individual provider · Type 1 NPI

James Stephenson, PTA

Developmental Therapist · Lewiston, ID

NPI number 1801452248 Active

Practice location

1014 Burrell Ave
Lewiston, ID 83501-5589

Call (208) 743-4558 Map

Mailing address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XPTA-6295 (ID)

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1801452248

James Stephenson, PTA's National Provider Identifier is 1801452248, issued on May 10, 2019. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Lewiston, ID. The record was last updated on May 10, 2019.